Individual
DR. ALI SAJJADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
496 OLD NEWPORT BLVD., SUITE #3, NEWPORT BLVD., CA 92663
(949) 515-0550
(949) 515-0551
Mailing address
496 OLD NEWPORT BLVD, SUITE #3, NEWPORT BEACH, CA 92663-4263
(949) 515-0550
(949) 515-0551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G87722
CA
174400000X
Specialist
MD056825L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001956823
—
PA
Enumeration date
02/21/2006
Last updated
05/28/2013
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